Role of bicolumnar plating by extensor mechanism sparing paratricipital approach in adult distal humerus trauma
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 10, Issue 3
Abstract
Background: Distal articular humerus fractures are preferably treated by open reduction and internal fixation. To avoid the complications of olecranon osteotomy approach an extensor mechanism sparing paratricipital posterior approach to distal humerus through midline posterior incision is advised.Aim: To evaluate the role of bicolumnar plating by extensor mechanism sparing paratricipital approach in adult distal humerus trauma.Material and Methods: In this prospective study, 30 patients with distal end humerus fracture were treated with open reduction and internal fixation with bicolumnar plating by extensor mechanism sparing paratricipital approach were studied for outcome.Results: At the end of 6 month follow up as per Mayo Elbow Performance Score, we found excellent result in 26 patients, Good result in 3 patient and Fair result in 1 patient. Using Mayo elbow score we had more than 96% excellent to good results with mean score of 95.46. We did not have any poor results at the end of 6 month follow up.Conclusion:Bicolumnar Plating by Extensor Mechanism sparing paratricipital approach gives better functional range of motion and therefore better functional outcome and fewer complications.
Authors and Affiliations
Rajesh K Ambulgekar, Kapil R Saoji
Keywords
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- EP ID EP617267
- DOI 10.26611/10201033
- Views 90
- Downloads 0
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